Individual
JESSICA A SPIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9750 SW NIMBUS AVE, BEAVERTON, OR 97008-7172
(503) 906-7300
(503) 245-8219
Mailing address
PO BOX 230457, TIGARD, OR 97281-0457
(503) 906-7300
(503) 245-8219
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
MD27878
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD27878
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500623434
—
OR
Enumeration date
11/08/2005
Last updated
01/23/2024
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